| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,295 |
2,761 |
$79K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,257 |
1,098 |
$54K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,680 |
1,455 |
$52K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,790 |
1,686 |
$51K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
835 |
747 |
$41K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
11,414 |
7,525 |
$33K |
| 71046 |
Radiologic examination, chest; 2 views |
4,957 |
4,390 |
$31K |
| 71045 |
Radiologic examination, chest; single view |
8,221 |
6,251 |
$23K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
769 |
717 |
$19K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,462 |
1,373 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
135 |
127 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
290 |
261 |
$8K |
| 76830 |
Ultrasound, transvaginal |
274 |
257 |
$7K |
| 74018 |
|
520 |
459 |
$3K |
| 45384 |
|
12 |
12 |
$2K |
| 72100 |
|
271 |
245 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
36 |
28 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
157 |
118 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
54 |
39 |
$2K |
| 76536 |
|
63 |
58 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
202 |
150 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
13 |
$934.82 |
| 99219 |
|
15 |
15 |
$880.84 |
| 76642 |
|
48 |
39 |
$755.29 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
12 |
$635.00 |
| 73562 |
|
82 |
70 |
$569.35 |
| 72040 |
|
59 |
54 |
$439.08 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$341.88 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
15 |
14 |
$311.01 |
| 76641 |
|
20 |
12 |
$281.27 |
| 73030 |
|
47 |
37 |
$224.90 |
| 73502 |
|
15 |
14 |
$138.33 |
| 73630 |
|
17 |
15 |
$109.76 |
| 73130 |
|
17 |
14 |
$102.83 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
39 |
27 |
$61.80 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
27 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
20 |
14 |
$0.00 |
| 99217 |
|
15 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
19 |
16 |
$0.00 |